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Seven Corners Travel Medical Choice - Non-USA Insurance Application

Please note that :

Not available to Residents of: Colorado (CO), Maryland (MD), New York (NY), South Dakota (SD) & Washington (WA).
Not available if Home Country/Country of Residences are: Albania (ALB), Algeria (DZA), Andorra (AND), Angola (AGO), Austria (AUT), Belarus (BLR), Belgium (BEL), Benin (BEN), Bosnia and Herzegovina (BIH), Botswana (BWA), Bulgaria (BGR), Burkina Faso (BFA), Burundi (BDI), Cameroon (CMR), Central African Republic (CAF), Chad (TCD), Comoros (COM), Congo (COG), Congo, The Democratic Republic of (COD), Cote D'Ivoire (CIV), Croatia (HRV), Cuba (CUB), Czech Republic (CZE), Denmark (DNK), Djibouti (DJI), Egypt (EGY), Equatorial Guinea (GNQ), Eritrea (ERI), Estonia (EST), Ethiopia (ETH), Finland (FIN), France (FRA), Gabon (GAB), Gambia (GMB), Germany (DEU), Ghana (GHA), Greece (GRC), Guinea (GIN), Guinea-bissau (GNB), Holy See (Vatican City State) (VAT), Hungary (HUN), Iceland (ISL), Iran (IRN), Ireland (IRL), Italy (ITA), Kenya (KEN), Kosovo (XKX), Latvia (LVA), Lesotho (LSO), Liberia (LBR), Libya (LBY), Liechtenstein (LIE), Lithuania (LTU), Luxembourg (LUX), Macedonia (MKD), Madagascar (MDG), Malawi (MWI), Mali (MLI), Malta (MLT), Mauritania (MRT), Mauritius (MUS), Moldova, Republic of (MDA), Monaco (MCO), Montenegro (MNE), Morocco (MAR), Mozambique (MOZ), Namibia (NAM), Netherlands (NLD), Niger (NER), Nigeria (NGA), North Korea (PRK), Norway (NOR), Poland (POL), Portugal (PRT), Romania (ROU), Russia (RUS), Rwanda (RWA), San Marino (SMR), Sao Tome and Principe (STP), Senegal (SEN), Serbia (SRB), Seychelles (SYC), Sierra Leone (SLE), Slovak Republic (SVK), Slovenia (SVN), Somalia (SOM), South Sudan (SSD), Spain (ESP), Sudan (SDN), Swaziland (SWZ), Sweden (SWE), Syria (SYR), Tanzania, United Republic of (TZA), Togo (TGO), Tunisia (TUN), Uganda (UGA), Ukraine (UKR), United Kingdom (GBR), Zambia (ZMB) & Zimbabwe (ZWE).
Not available for Citizens of: Kosovo (XKX) & Ukraine (UKR).
Not Available for the following Destination Countries: Antarctica (ATA), Bahrain (BHR), Burkina Faso (BFA), Central African Republic (CAF), Congo, The Democratic Republic of (COD), Cuba (CUB), Cyprus (CYP), Iran (IRN), Israel (ISR), Jordan (JOR), Kosovo (XKX), Kuwait (KWT), North Korea (PRK), Oman (OMN), Pakistan (PAK), Puerto Rico (PRI), Qatar (QAT), Russia (RUS), Saudi Arabia (SAU), Somalia (SOM), Syria (SYR), Ukraine (UKR), United Arab Emirates (ARE) & United States (USA).

All fields are required fields unless stated as optional

Citizenship

Residence / Home Country

Where are you traveling to?

Sorry, we don't have an online application for your country at this time. Please contact [email protected] for more infomation.

Date of Arrival

Coverage Area

Coverage Start Date
(Begins at 12:00 AM EST)

Coverage End Date
(Ends at 11:59 PM EST)

Coverage Area

Please use the date of birth that appears in your travel documents, for e.g passport. A request to correct date of birth after the policy is purchased may result in changes to policy premium and benefits.
More than one traveler? Enter the oldest person as the Primary Applicant.

Applicant Date of Birth
(Oldest Traveler)

Spouse Coverage Needed

Spouse Date of Birth

Child Coverage Needed
(18 years and under)

Dependent Child: Children 18 years and under of the primary insured on this policy. Grandchildren, nieces, nephews etc. are not considered as dependent children. Please fill a separate application in such cases or for older children.

+ Add Child

SCTMC

Seven Corners Travel Medical Choice - Non-USA

Administrative Company

Seven Corners

Carrier / Underwriter

Lloyd's and Tramont

Payment Options

Credit cards accepted:
Debit cards are accepted.

The comprehensive plan provides a percentage of eligible expenses, up to the policy maximum.

Review the policy documents for complete policy details including benefits and exclusions.

Review & Download

Plan Brochure Description of Coverage